Submit this completed application to:
Brownfields Financial Tax Incentive Program
Provincial-Local Finance Division
Ministry of Revenue
777 Bay street, 10th Floor
Toronto ON M5G 2C8
One application per property.
To be completed by the host
municipality.
The Brownfields Financial Tax Incentive
Program allows a municipality to apply for
matching education property tax assistance
to provide an incentive for environmental
rehabilitation.
Matching education property tax assistance
is provided under all of the terms and
conditions described in section 365.1 of the
Municipal Act, 2001. Tax assistance
awarded during the rehabilitation and
development periods will be terminated at
the earliest of the following events:
- the point of severance or subdivision;
- the point of sale or conveyance;
- the date that tax assistance equals
accumulated costs of contaminant
reduction action taken to permit the filing
of a Record of Site Condition for the
property; or
- the date ending three consecutive years
of matching education property tax
assistance (unless a written exemption was granted by the Minister of Finance), or the expiry date of the
development period otherwise approved
in the municipal by-law.
For detailed information on these and other
program requirements, refer to A Guide to the Brownfields Financial Tax Incentive
Program, available from the Ministry of
Finance.
| Host Municipality |
Name
|
Municipal by-law index/title
|
| Primary Contact |
Secondary Contact |
| First name |
First name |
| |
|
| Last name |
Last name |
| |
|
| Position/Title |
Position/Title |
| |
|
| Mailing address |
Mailing address |
| Number and street |
Number and street |
| |
|
| Suite/Floor/Unit |
Suite/Floor/Unit |
| |
|
| City |
City |
| |
|
| Prov. |
Prov. |
| |
|
| Postal code |
Postal code |
| |
|
| Phone |
Phone |
| |
|
| Fax |
Fax |
| |
|
| |
|
| Subject Property Owner (or agent as applicable) |
Subject Property Developer (if different from Owner) |
Name
|
Name
|
Contact
First name |
Contact
First name |
| |
|
| Last name |
Last name |
| |
|
| Position/Title |
Position/Title |
| |
|
| Mailing address |
Mailing address |
| Number and street |
Number and street |
| |
|
| Suite/Floor/Unit |
Suite/Floor/Unit |
| |
|
| City |
City |
| |
|
| Prov. |
Prov. |
| |
|
| Postal code |
Postal code |
| |
|
| Phone |
Phone |
| |
|
| Fax |
Fax |
| |
|
| Subject Property Information |
| Address |
|
| Number and street |
Assessment roll number |
| |
|
| R.R. # / Other location identifier |
Current value assessment |
| |
|
| City |
Property Size (acres) |
| |
|
| Prov. |
Realty Tax Qualifier (RTQ) |
| |
|
| Postal code |
Tax rate for subject property Lower/single tier only |
| |
|
| |
Municipal |
| |
|
| |
Education |
| |
|
| Upper Tier Municipality |
Contact |
| Is the upper tier municipality participating? |
First name |
| YES NO If Yes, complete details about the upper tier municipality |
|
| Municipal name |
Last name |
| |
|
| Municipal tax rate for subject property Upper tier only |
Position/Title |
| |
|
| |
Mailing address |
| |
Number and street |
| |
|
| |
Suite/Floor/Unit |
| |
|
| |
City |
| |
|
| |
Prov. |
| |
|
| |
Postal code |
| |
|
| |
Phone |
| |
|
| |
Fax |
| |
|
| |
|
Legislative and Regulatory Program
Requirements |
Please check and complete each section.
Attach supplementary materials as necessary. |
| |
-
The municipality has verified that the subject
property meets the definition of an "eligible
property" under subsection 365.1(1) of the
Municipal Act, 2001.
-
The property is located within a community
improvement project area in an approved
Community Improvement Plan (CIP) containing
provisions for tax assistance under section 365.1
of the Act.
Name of Community Improvement Plan
Designating CI Project Area By-Law Number
Date of CIP approval
-
The subject property has a completed
phase two environmental site assessment and is
in need of environmental rehabilitation, as
described in subparagraph 4i of subsection
168.4(1) of the Environmental Protection Act, on
or before the submission date of the application.
-
Attach a copy of the draft by-law (or by-laws)
as described under subsections 365.1(2) and (3)
of the Municipal Act, 2001.
-
Attach a copy of the landowner's application
and program information submitted to the
municipality.
-
Attach a copy of any proposed agreement or
undertaking required by the municipality from the
landowner as a condition of matching education
property tax assistance.
-
If the upper-tier municipality is participating,
attach a copy of its council resolution.
-
Attach a description (approximately one page
in length) that details the nature of the subject
property's contamination and a brief description of
proposed remediation activities and technologies
to be used during the rehabilitation period.
-
Attach an outline (approximately one page in
length) of expected costs that will be incurred
during the rehabilitation and development periods.
-
Attach a time estimate for completion of the
rehabilitation and development periods.
Operational Program Requirements
Please check and complete each section. |
-
The municipality further agrees, as stated in its
draft by-law, that the information described in the
three previous paragraphs shall be updated on an
annual basis during the provision of matching
education property tax assistance by the Minister
of Finance.
-
The municipality understands that the annual
reporting requirements must be forwarded to the
Ministry of Revenue within 30 days of the start-date
anniversary for matching education property tax
assistance.
-
The municipality is satisfied with all business
materials, financial information and property
records from the property landowner as required
by Council.
-
The municipality agrees that a completed
Record of Site Condition for the subject property
will be provided to the Minister of Finance after it
is filed in the Environmental Site Registry.
-
The CIP that applies to the subject property
includes an acknowledgement that the Minister of Finance may impose additional conditions for the approval of matching education
property tax assistance that are different from
those described in a municipality's CIP.
- The municipality has included a copy of its
designated CIP as approved by the Minister of
Municipal Affairs and Housing and listed in point
1a of this application form.
-
The municipality grants Ministry of Revenue
staff the right at all times to inspect the financial
records collected or produced by the municipality
for matching education property tax assistance
purposes under section 365.1 of the Municipal Act, 2001.
- The municipality understands that the information contained
in this application and all attachments are subject to the
Freedom of Information and Protection of Privacy Act
and has communicated this point to the landowner. As such,
the application form and its attachments may be shared with
the Ministries of the Environment and Municipal Affairs
and Housing as part of normal business operations, as well
as with legal counsel and other person(s) connected with
the landowner as necessary for the purposes of accountability
and reporting requirements related to the Brownfields Financial
Tax Incentive Program.
-
The municipality has dated and signed this
form as an application for matching education
property tax assistance.
| Authorized Representative for the Municipality |
I certify that to the best of my knowledge and belief, the information provided with this application is true. I acknowledge that submitting false
or misleading information may result in cancellation of the matching education property tax assistance, as well as in civil liability. I also agree
to notify the Ministry of Revenue in writing about any subsequent changes to information contained in this application and its attachments.
Print First and last name
|
Print Position/Title |
Signature |
Date |
|
Share this page or Subscribe